Cypress Lake Eyewear

LBN: Richard M Davis Md Pa
Cypress Lake Eyewear is an health care organization with primary practice located at 9201 Cypress Lake Dr , Fort Myers FL 33919-4941. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty. Richard M Davis Md Pa can be contacted via phone (239) 481-8171, or through Davis, Richard M via phone (239) 481-3343.

Contact Information

Primary practice address
9201 Cypress Lake Dr Fort Myers FL 33919-4941
Fax: (239) 482-5227
Website:
Authorized official contact:
Name: Davis, Richard M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 0000176 Florida
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 000176 Florida

Profile Details

NPI number 1235120619
LBN Legal business name Richard M Davis Md Pa
DBA Doing business as Cypress Lake Eyewear
Authorized official Davis, Richard M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jun 25th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235120619 NPPES
Other 18778423210 UNITED HEALTHCARE
Other 0499890001 UNITED HEALTHCARE
Other 6924 UNITED HEALTHCARE

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